| NPI | 1295276558 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD61140399) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 321861) |
| 208M00000X Hospitalist (Licence: LA 321861) | |
| Enumeration Date | 2017-03-19 |
| Last Update Date | 2021-11-06 |